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2015, Number 1

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Rev Cub Med Mil 2015; 44 (1)

Patients with central nervous system infection

García GA, Amador CM, Pradere PJC, Nistal MJ, Gutiérrez GL

Language: Spanish
References: 29
Page: 11-23
PDF size: 162.14 Kb.


ABSTRACT

Introduction: central nervous system infections are a major health problem. The sudden onset of symptoms, the fatal outcome within a few hours or the remaining sequels makes these diseases have a major social impact.
Objective: characterize the central nervous system infections, their behavior and relationship to mortality at “Dr. Carlos J. Finlay” Hospital from January 2009 to December 2013.
Methods: an observational descriptive transversal study was carried out with 100 patients at “Dr. Carlos J. Finlay” Hospital from January 2009 to December 2013. Information was collected through medical records with diagnosis any type of sepsis central nervous system at discharge and from autopsy reports. Univariate and Bivariate statistical analyzes were conducted, and the distributions of absolute and relative frequencies were found.
Results: the average age was 44.4 years, there was male predominance in the group ≤ 39 years (54.7 %), but 40-59 years (34.9 %) prevailed in the female group. the deceased group, 60-79 years (47.8 %) majored and those living at discharge, the predominance was ≤ 39 years (53.2 %).Risk factors occurred in the 64 % of patients. Bacterial and viral meningencephalitis accounted for the 77 %. Citochemical testing was performed in 98 % of the patients and it proved positive in the 88, 8 %. The most frequent ethiological agent was Streptococcus pneumoniae (33, 3 %). Complications were present in 33, 7 % of the patients. The rate mortality reached 23 %.
Conclusions: mortality due to CNS infection was high and the isolation of microorganisms was low. The fact that more than a third of patients have complicated substantiates the high mortality in the study.


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